Hariharan Seetharaman, Dey Prasanta K, Chen Deryk R, Moseley Harley S L, Kumar Areti Y
Anaesthesia and Intensive Care, The University of the West Indies, St. Augustine, Trinidad and Tobago.
J Crit Care. 2005 Jun;20(2):117-24; discussion 124-5. doi: 10.1016/j.jcrc.2005.04.002.
To develop a model for the global performance measurement of intensive care units (ICUs) and to apply that model to compare the services for quality improvement.
Analytic hierarchy process, a multiple-attribute decision-making technique, is used in this study to evolve such a model. The steps consisted of identifying the critical success factors for the best performance of an ICU, identifying subfactors that influence the critical factors, comparing them pairwise, deriving their relative importance and ratings, and calculating the cumulative performance according to the attributes of a given ICU. Every step in the model was derived by group discussions, brainstorming, and consensus among intensivists.
The model was applied to 3 ICUs, 1 each in Barbados, Trinidad, and India in tertiary care teaching hospitals of similar setting. The cumulative performance rating of the Barbados ICU was 1.17 when compared with that of Trinidad and Indian ICU, which were 0.82 and 0.75, respectively, showing that the Trinidad and Indian ICUs performed 70% and 64% with respect to Barbados ICU. The model also enabled identifying specific areas where the ICUs did not perform well, which helped to improvise those areas.
Analytic hierarchy process is a very useful model to measure the global performance of an ICU.
开发一种用于重症监护病房（ICU）整体绩效评估的模型，并应用该模型比较服务以促进质量改进。
本研究采用层次分析法（一种多属性决策技术）来构建这样一个模型。步骤包括确定ICU最佳绩效的关键成功因素，识别影响关键因素的子因素，两两比较这些因素，得出它们的相对重要性和评级，并根据给定ICU的属性计算累积绩效。模型中的每一步都是通过重症监护专家的小组讨论、头脑风暴和达成共识得出的。
该模型应用于3个ICU，分别位于巴巴多斯、特立尼达和印度的三级护理教学医院，这些医院环境相似。与特立尼达和印度的ICU相比，巴巴多斯ICU的累积绩效评级为1.17，而特立尼达和印度的ICU分别为0.82和0.75，这表明特立尼达和印度的ICU相对于巴巴多斯ICU的绩效分别为70%和64%。该模型还能够识别ICU表现不佳的具体领域，这有助于改进这些领域。
层次分析法是一种衡量ICU整体绩效的非常有用的模型。
